{"ops":[{"insert":"A 1 year old boy presents with a swelling of his right elbow joint for 4 hours. His mother says that this occurred after he tripped and hit his elbow on the floor.\n\nHe was diagnosed with severe Hemophilia A at 7 months of age, after developing an epidural hematoma following a fall from his cradle.\n\nSince then, he has experienced a mild nose bleed, and a large bruise over his left knee, both following falls.\n\nAt the time of diagnosis, factor VIII activity was measured to be 0.9%. He is currently on recombinant factor VIII prophylaxis. His medical and surgical histories are otherwise unremarkable.\n\nHis family history is significant for a maternal uncle with Hemophilia. All immunizations are up to date. He lives with his mother and stepfather.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-P-025_en.png"}},{"insert":"\n"}]}
2
Investigate
Coagulation Profile + APTT Mixing Study
{"ops":[{"insert":"PT: 10 sec (10-12)\nINR: 1.1 (0.8- 1.2)\nAPTT: 51 sec (30-45)\nBleeding Time: 5 min (3-10)\n1:1 APTT Mixing Study: APTT is corrected\n"}]}
Factor VIII Inhibitor levels
{"ops":[{"insert":"No factor VIII inhibitors are detected.\n"}]}